NCLEX-PN
Integumentary Disorders NCLEX Questions Questions
Extract:
Question 1 of 5
Which nursing intervention is most appropriate to include in the care plan of an anxious client who is blind or has the eyes patched?
Correct Answer: B
Rationale: Explaining actions beforehand reduces anxiety by preparing the client for what to expect.
Question 2 of 5
The client with viral skin lesions is experiencing pruritus. Which statement would be an appropriate long-term goal?
Correct Answer: B
Rationale: Maintaining intact skin integrity is a long-term goal, preventing complications from viral lesions. Refraining from scratching, itch relief, and infection prevention are interventions.
Question 3 of 5
The client comes to the emergency department complaining of pain in the left lower leg following a puncture wound from a nail in a board. The left lower leg is reddened with streaks, edematous, and hot to the touch, and the client has a temperature of 100.8°F. Which condition would the nurse suspect the client is experiencing?
Correct Answer: A
Rationale: Redness, edema, heat, and streaks post-puncture suggest cellulitis, a bacterial infection. Lyme disease has a bullseye rash, impetigo is superficial, and DVT lacks skin changes.
Question 4 of 5
The nurse is discussing the prevention of herpes simplex 2. Which intervention should the nurse discuss with the client?
Correct Answer: B
Rationale: Avoiding oral sex with a cold sore (HSV-1) prevents HSV-2 transmission to genitals. Chickenpox vaccine, gloves, and towels are unrelated.
Question 5 of 5
Which nursing intervention is most appropriate to add to the care plan to reduce the client's anxiety?
Correct Answer: A
Rationale: Involving the client in care decisions reduces anxiety by providing control.